Individual
MS. MARY REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 E 17TH ST, NEW YORK, NY 10003-3804
(212) 460-0110
(212) 460-0160
Mailing address
PO BOX 800, MADISON SQUARE STATION, NEW YORK, NY 10159-0800
(212) 460-0110
(212) 460-0160
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F430109-1
NJ
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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